治疗医疗保险患者的非认证外科医生的特征和实践模式
Rebecca Moreci1, Rebecca S Gates1, John Luckoski2
1Department of Surgery, Center for Surgical Training and Research, University of Michigan, Ann Arbor, MI.
Annals of surgery
|April 12, 2024
概括
非认证的外科医生治疗更多的医疗保险患者,这些患者不是白人,社会经济地位较低,并且在农村医院. 这些外科医生有助于填补手术护理的缺口.
科学领域:
- 医疗保健服务研究 医疗服务研究
- 外科手术劳动力分析
- 健康 公平 卫生 公平
背景情况:
- 大多数美国外科医生是董事会认证的,但非认证的外科医生广泛实践.
- 外科人员短缺可能会影响患者获得护理.
- 非认证的外科医生可能有助于弥补接入差距,但他们的实践模式未得到充分研究.
研究的目的:
- 检查治疗医疗保险受益者的非认证普通外科医生的患者人口统计和实践特征.
- 为了比较认证与非认证外科医生的实践模式和患者群体.
主要方法:
- 对2014-2019年期间100%的医疗保险索赔数据样本进行分析.
- 一般外科医生的识别和分类,由美国外科学会认证或非认证.
- 两组之间外科医生实践模式和患者特征的比较.
主要成果:
- 没有证书的外科医生 (占总数的6%) 接受过的培训较少,更有可能是外国医学毕业生.
- 他们更经常在营利性和关键接入医院执业,而在教学医院则较少.
- 非认证的外科医生对非白人患者,社会经济地位较低的五分之一患者和急诊患者的比例更高.
结论:
- 非认证的外科医生在治疗脆弱的医疗保险患者群体中发挥着重要作用,包括种族少数群体和低SES个体.
- 这些外科医生经常在农村,关键进入医院执业,有可能改善服务不足地区的进入.
- 调查结果强调了非认证外科医生对特定患者群体的外科护理获取的贡献.
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